Individual provider · Type 1 NPI

Tracy Leslie Jackson, DMD

General Practice Dentistry · Bradenton, FL

NPI number 1740203496 Active

Practice location

1731 Manatee Ave E
Bradenton, FL 34208

Fax (941) 749-5826

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN0013214 (FL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1740203496

Tracy Leslie Jackson, DMD's National Provider Identifier is 1740203496, issued on Jul 25, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bradenton, FL. The record was last updated on Nov 26, 2024.